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Intravenous ranitidine: Rapid bolus can lead to cardiac arrest.

Upadhyay KJ, Parmar SJ, Parikh RP, Gauswami PK, Dadhaniya N, Surela A - J Pharmacol Pharmacother (2015 Apr-Jun)

Bottom Line: He had no significant past medical or family history.He was transferred to the Intensive Care Unit (ICU) on a ventilator, which was soon removed and the patient was off vasopressors, with stable vitals for 24 hours after the event.He was then transferred to the general ward of Medicine Department and observed for a further two days during which the patient remained uneventful and was finally transferred back to the Dental Department.

View Article: PubMed Central - PubMed

Affiliation: Department of Medicine, B J Medical College, Ahmedabad, Gujarat, India.

ABSTRACT
This is a rare case report of a 30-year-old male, who was admitted to the Maxillofacial Surgery Department of the Dental College for a malunited fracture of the mandible and zygomatic bones. He was given oral medications namely, cefixime, metronidazole, ondansetron, and ranitidine for three days prior to the operation with complete normal preoperative workup. He had no significant past medical or family history. On the day of the operation, he was given injectable dexamethasone, cefotaxime, ondansetron, ranitidine, and metronidazole half-an-hour prior to the operation. In less than five minutes of giving a bolus ranitidine injection, the patient developed a cardiac arrest and was resuscitated by the anesthetist team on duty. He was transferred to the Intensive Care Unit (ICU) on a ventilator, which was soon removed and the patient was off vasopressors, with stable vitals for 24 hours after the event. He was then transferred to the general ward of Medicine Department and observed for a further two days during which the patient remained uneventful and was finally transferred back to the Dental Department.

No MeSH data available.


Related in: MedlinePlus

Fracture of the right zygomatic arch and right coronoid process of the mandible
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Figure 1: Fracture of the right zygomatic arch and right coronoid process of the mandible

Mentions: A three-dimensional (3D) computed tomography (CT) scan reconstruction of the face revealed malunited fractures of the zygomatic and mandible bones on the right side, as shown in Figure 1. He was admitted on Tuesday, 23 July, 2013, and was planned for reduction surgery on Friday. He was investigated for operative fitness. The tests included human immunodeficiency virus (HIV) and hepatitis serology, with complete blood counts, renal and liver function tests with serum biochemistry, and electrocardiogram (EKG), all of which were normal. He had no significant past medical history or family history. He was a chronic tobacco chewer.


Intravenous ranitidine: Rapid bolus can lead to cardiac arrest.

Upadhyay KJ, Parmar SJ, Parikh RP, Gauswami PK, Dadhaniya N, Surela A - J Pharmacol Pharmacother (2015 Apr-Jun)

Fracture of the right zygomatic arch and right coronoid process of the mandible
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4419240&req=5

Figure 1: Fracture of the right zygomatic arch and right coronoid process of the mandible
Mentions: A three-dimensional (3D) computed tomography (CT) scan reconstruction of the face revealed malunited fractures of the zygomatic and mandible bones on the right side, as shown in Figure 1. He was admitted on Tuesday, 23 July, 2013, and was planned for reduction surgery on Friday. He was investigated for operative fitness. The tests included human immunodeficiency virus (HIV) and hepatitis serology, with complete blood counts, renal and liver function tests with serum biochemistry, and electrocardiogram (EKG), all of which were normal. He had no significant past medical history or family history. He was a chronic tobacco chewer.

Bottom Line: He had no significant past medical or family history.He was transferred to the Intensive Care Unit (ICU) on a ventilator, which was soon removed and the patient was off vasopressors, with stable vitals for 24 hours after the event.He was then transferred to the general ward of Medicine Department and observed for a further two days during which the patient remained uneventful and was finally transferred back to the Dental Department.

View Article: PubMed Central - PubMed

Affiliation: Department of Medicine, B J Medical College, Ahmedabad, Gujarat, India.

ABSTRACT
This is a rare case report of a 30-year-old male, who was admitted to the Maxillofacial Surgery Department of the Dental College for a malunited fracture of the mandible and zygomatic bones. He was given oral medications namely, cefixime, metronidazole, ondansetron, and ranitidine for three days prior to the operation with complete normal preoperative workup. He had no significant past medical or family history. On the day of the operation, he was given injectable dexamethasone, cefotaxime, ondansetron, ranitidine, and metronidazole half-an-hour prior to the operation. In less than five minutes of giving a bolus ranitidine injection, the patient developed a cardiac arrest and was resuscitated by the anesthetist team on duty. He was transferred to the Intensive Care Unit (ICU) on a ventilator, which was soon removed and the patient was off vasopressors, with stable vitals for 24 hours after the event. He was then transferred to the general ward of Medicine Department and observed for a further two days during which the patient remained uneventful and was finally transferred back to the Dental Department.

No MeSH data available.


Related in: MedlinePlus